| NPI | 1962906412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: NJ 25MA11051600) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: NY 301666) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2023-08-21 |